Title Page
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Conducted on
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Prepared by
Personal Hygiene
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All sinks are unobstructed, operational, and clean.
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Employees wear clean and proper uniforms including shoes.
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Employees use disposable tissues when coughing or sneezing and then immediately wash hands.
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Effective here restraints are properly worn.
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Finger nails are short, unpolished, and clean (no artificial nails).
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Jewelry is limited to a plain green, such as the wedding band and the watch, and no bracelets.
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Employees appear in good health.
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Burns, wounds, sores or scabs, or splints and waterproof bandages on hands are bandaged and completely covered with a food service gloves while handling food.
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Eating, drinking, chewing gum, smoking, or using tobacco are allowed only in designated areas away from preparation, service, storage, and WARE washing areas.
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Hand sinks are stocked with soap, disposable towels, and warm water.
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A handwashing sign is posted.
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Employee restrooms are operational and clean.
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Employees utilize acceptable hygienic practices (they don’t touch hair, face, nose and then handle food)
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Comments:
Food Preparation
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All food stored or prepared at the facility is from an approved source.
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Food equipment, utensils, and food contact surfaces are properly washed, rinsed, and sanitized before every use.
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Thawed food is not refrozen.
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Frozen food is thawed under refrigeration, cooked to a proper temperature from frozen state, or cold running water.
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Preparation is planned so ingredients are kept out of the temperature danger zone to the extent possible.
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Food is tasted using the proper procedure.
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Procedures are in place to prevent cross-contamination.
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Food is prepared in small batches to limit the time it is in the temperature danger zone.
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Clean reusable towels are used only for sanitizing equipment and surfaces and not for drying hands, utensils, or floor.
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Food is cooked to the requisite safe temperature for the appropriate time. The thermometer is tested with a calibrated food thermometer.
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The internal temperature of food being cooked is monitored and documented.
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Food items in the refrigerator(s) are labeled and/or dated and scheduled to be served at the next meal.
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Cracked or unpasteurized eggs are not used in foods that are not fully cooked.
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Leftovers are cool quickly and promptly and shallow pans in the refrigerator or freezer.
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Potentially hazardous foods are cooled from 135°F to 70°F within two hours; from 70°F to 41°F within four hours; the total time for cooling from 135°F to 41°F should not exceed six hours.
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Comments:
Hot Holding
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The hot holding area is clean.
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Food is heated to the required safe internal temperature before placing in hot holding. Hot holding units are not used to reheat potentially hazardous foods.
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The hot holding unit is preheated before hot food is placed in the unit.
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Temperature of hot food being hill is at or above 135°F.
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Food is protected from contamination.
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Comments:
Cold Holding
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Refrigerators are kept clean and organized.
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Walk-in coolers are kept clean and organized.
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Refrigerators and coolers are maintained at the proper temperature and documented.
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Freezers are kept clean and organized and at the proper temperature.
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Food is protected from contamination.
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Comments:
Refrigerator-Freezer & Milk Cooler
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Thermometers are available and accurate.
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Temperature is appropriate for a piece of equipment.
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Food is stored 6 inches off the floor or in the walk-in cooling equipment.
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Refrigerator and freezer units are clean and neat.
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All food is properly wrapped, labeled, and dated.
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The FIFO (First In-First Out) method of inventory management is used.
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The ambient air temperature of all refrigerators and freezers is monitored and documented at the beginning and end of each shift.
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Potentially hazardous foods like uncooked meat, poultry, fish, and eggs are stored separately from other foods. (E.g., Meat thawing so that juices are not dripping on other food)
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Refrigerators maintained at or below 41°F.
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Freezer temperatures maintained at a level to keep frozen food solid.
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Internal temperatures of potentially hazardous, refrigerated foods (eg. meat, fish, milk, egg, poultry dishes) are within acceptable ranges of 41°F or lower.
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Foods in the refrigerator are shaved to allow air circulation.
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Foods are not in contact with soiled surfaces.
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Containers of food are not stored on the floor.
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Foods are without signs of negative outcomes such as freezer burn, dried out, changing color.
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The facility has a policy regarding storage of food including leftovers.
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Comments:
Food Storage and Dry Storage
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The temperature of dry storage is between 50°F and 70°F or meets State public health requirement.
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All food and paper supplies are stored 6 to 8 inches off the floor.
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All food is labeled with the name and date received.
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Open bags of food are stored in containers with tight fitting lids and labeled with common name.d
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The FIFO (First In First Out) method of inventory management is used.
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There are no bulging, dented, or leaking canned foods.
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Dented cans are returned to the supplier.
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Food is protected from contamination.
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All surfaces are clean.
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Chemicals are clearly labeled and stored away from food and food related supplies.
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There is a regular cleaning schedule for all food surfaces.
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Food is stored in original container or food grade container.
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Comments:
Cleaning and Sanitizing
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Three compartment sink is properly set up for WARE washing.
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The dishwashing machine is working properly (ie, gauges and chemicals are at recommended levels).
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Water temperatures are correct for wash and rinse.
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If heat sanitizing, utensils are allowed to remain immersed in 171°F water for 30 seconds.
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If using a chemical sanitizer, it is set correctly and sanitizer Quality Control strip is used to test chemical concentration.
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Small ware and utensils are allowed to air dry.
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Wiping cloths are stored in sanitizing solution while in use.
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Dishwasher temperatures reach 150°F wash, 180°F rinse OR 120°F wash +50 ppm hypochlorite.
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Dishes, food preparation equipment, and utensils are not towel dried.
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If dishes are cleaned and sanitized manually, after washing and rinsing, dishes are sanitized by immersion in either:<br>-Hot water (at least 171°F) for 30 seconds or<br>-A chemical sanitizing solution. If explicit manufacturer instructions are not provided, the recommended concentrations are as follows:<br> - Chlorine: 50 - 100 PPM minimum 10 second contact time<br> - Iodine: 12.5 PPM minimum 30 second contact time<br> - QAC space (Quarternary): 150-200 PPM concentration and contact time per manufacturer’s instructions (Ammonium Compound)
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Dish ware is stored to prevent contamination. (In a clean, dry location, not exposed to splash, dust, or other contamination and covered or inverted).
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Comments:
Utensils and Equipment
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Small equipment and utensils are washed, sanitize, and air dried.
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Work surfaces and utensils are clean
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Work surfaces are clean and sanitized between uses.
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Thermometers are cleaned and sanitized after each use.
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Thermometers are calibrated on a routine basis.
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Can openers are clean.
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Drawers and Racks are clean.
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Clean utensils are handled in a manner to prevent contamination of areas that will be in direct contact with food or persons mouth.
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Comments:
Large Equipment
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The food slicers are clean.
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Food slicer is broken down, clean, and sanitized before and after each use.
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Boxes, containers, and recyclables are removed from site.
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The loading dock in areas around dumpsters are clean and odor free.
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Exhaust hoods and filters are clean.
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Fans in coolers and freezers are clean.
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Fans in preparation areas are clean.
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Comments:
Garbage Storage & Disposal
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Kitchen garbage cans are cleaned and kept it covered.
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Garbage cans are emptied as necessary.
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Boxes and containers are removed from the site.
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Dumpsters are clean.
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There is no evidence of pest infestation.
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Comments:
Pest Control
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Outside doors have screens, are well sealed, and/or equipped with a self-closing device.
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No evidence of pests is present.
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There is a regular schedule of pest-control from licensed pest control operators.
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Comments: